A Notice of Directions for the CCG was published by NHS England on 6 September 2017 and Patricia Davies, Accountable Officer has issued the following statement:
“We accept NHS England’s recommendations published today and have been working closely with them and our colleagues at the Good Governance Institute since December last year to implement some important changes to the way we work to be able to deliver sustained improvements.
“We have appointed a permanent Chief Operating Officer and more recently a Turnaround Director to support our financial recovery planning. In addition, we have increased the number of local GPs supporting the development of our patient care pathways through our Clinical Cabinet, to make sure local doctors are actively involved in shaping healthcare in Dartford, Gravesham and Swanley.
“We have established a dedicated Programme Management Office (PMO) to support the full range of complex contracting and commissioning projects we cover in order to turn around our financial position. Taking this approach will enable health commissioners to focus more of their time on planning and overseeing delivery of high quality, efficient local health services. It will also assist our clinical teams to continue monitoring the quality and safety of our local hospitals, primary care and community health services whilst demonstrating improved value for public money.”
“We have already started to work more closely with our partners including those in primary care and the hospital trusts towards our new models of care. This work will also be a key component of our longer term sustainable assurance action plans.
“The Governing Body and all of our staff recognise there is much to do with our partners to improve and to reduce the deficit in the coming months, and that there will be some difficult decisions ahead. However, we are determined to build upon the positive partnership work we have already started in order to demonstrate sustained progress and do our best to ensure patients in Dartford, Gravesham and Swanley get high quality, safe care.
“There are some key areas that NHS England has highlighted as good practice including our plans for improving GP access through local hubs, our review of urgent care services, and our successful funding bids for the Healthy New Towns programme and the Estates and Technology Transformation Fund.”
Good practice examples for the CCG include:
- our member practices and the CCG team have been congratulated as being first in the country to achieve a 100% GP participation rate for this year’s National Diabetes Audit
- a number of patient outcomes in the DGS area are among the highest in Kent and Medway including cancer indicators for clinical outcomes which are rated as good
- achieving progress on the locality-based delivery model which will improve quality of care and join-up of community, primary and hospital care for patients whilst improving value for money
- successfully securing £75k in transformational funding from the Healthy New Towns programme for the Ebbsfleet redevelopment to support GP practices
- successfully securing Estates and Technology Transformation funding to support local infrastructure in health and digital investment
- continued progress in developing an enhanced urgent care system built around hub-based delivery of local services for people in the CCG area, for which there have already been good examples of stakeholder engagement. The review was approved by the Kent Health Overview and Scrutiny Committee to proceed to the next stages of public engagement
For more information about CCG assessment, please visit the NHS England website.